Nursing Care Plan

Question 1

Is a formal process that correctly identifies existing needs and recognizes
potential needs or risks

Answer 1

NURSING CARE PLAN

Question 2

✓ Promote evidence-based nursing care and to render pleasant and
familiar conditions in hospitals or health centers.
✓ Support holistic care
✓ Formulate goals and expected outcome.
✓ Review communication and documentation of the care plan.
✓ Measure nursing care.

Answer 2

NCP

Question 3

PURPOSES OF A NURSING CARE PLAN

Answer 3

✓ Provides direction for individualized care of the client.
✓ Continuity of care.
✓ Documentation.
✓ Estblish goals.

Question 4

existing problem

Answer 4

Actual

Question 5

potential

Answer 5

Risk

Question 6

Nursing diagnoses that are in the “risk for” categories may
not need the AEB portion of the statement,since there is no
actual evidence.

Answer 6

RISK

Question 7

this is what your patient tells you.

Answer 7

Subjective

Question 8

this is what you see.

Answer 8

Objective

Question 9

✓ It is not a medical diagnosis.
✓ Is the plan of
care for your patient which all
member of the staff will follow as
they care for the patient.
✓ It must be individualized for your
patient.

Answer 9

NURSING DIAGNOSIS (1st Column)

Question 10

a statement distinguishing a shift in behavior that can be
completed immediately, usually within a few hours or days.

Answer 10

Short Term Goal

Question 11

Indicates an objective to be completed over a longer period,
usually over weeks or months

Answer 11

Long term goal

Question 12

Involves naming long-term goals, therefore promoting
continued restorative care and problem resolution through home health, physical
therapy, or various other referral sources.

Answer 12

Discharge Planning

Question 13

✓ This is the scientific reason for our intervention
✓ Includes definition of the problem with schematic diagram and reference below this column.

Answer 13

RATIONALE (second column)

Question 14

✓ are activities or actions that a nurse
performs to achieve client goals.
✓ Interventions chosen should focus on eliminating or reducing
the etiology of the nursing diagnosis.
✓ For risk nursing diagnoses, interventions should focus on
reducing the client’s risk factors

Answer 14

NURSING INTERVENTIONS (3RD COLUMN)

Question 15

Are activities that nurses are licensed to initiate based
on their sound judgement and skills

Answer 15

Independent nursing interventions

Question 16

Are activities carried out under the physician’s orders or
supervision. Includes orders to direct the nurse to provide medications, intravenous
therapy, diagnostic tests, treatments, diet, and activity or rest.

Answer 16

Dependent nursing interventions

Question 17

Are actions that the nurse carries out in
collaboration with other health team members, such as physicians,
social workers, dietitians, and therapists.

Answer 17

Collaborative interventions

Question 18

✓ Rationales, also known as scientific explanations,
explain why the nursing intervention was chosen for
the NCP.
✓ Rationales do not appear in regular care plans. They
are included to assist nursing students in associating
the pathophysiological and psychological principles
with the selected nursing intervention.

Answer 18

PROVIDING RATIONALE (4TH COLUMN)

Question 19

✓ Is an essential aspect of the nursing
process because conclusions drawn from this step
determine whether the nursing intervention
should be terminated, continued, or changed.

Answer 19

EVALUATION(5TH COLUMN)

Question 20

✓ Desired outcomes and the
effectiveness of the nursing care plan (NCP).

Answer 20

Evaluating